Based on public Medicaid payment data.
Aldyn Jerome Muthra
Medicaid Provider in Cleveland, OH
Type
Individual Provider
Address
12100 Superior Ave
Cleveland, OH 441061444
Phone
2162317700
NPI
1114282704
Procedures
3
Total Claims
3.7K
Patients Served
3.1K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Dental Cleaning & Exam | $10.50 | 3,466 | 2,933 |
| Dental Filling | $29.34 | 212 | 155 |
| Tooth Extraction | $2.75 | 21 | 17 |
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